1992, 09-04 Permit: 92007280 SewerSPOKANE COUNTY'DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition. I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 92007280
ISSUED PERMIT DATE= 09/04/92 PAGE= 01
P.-tiE**********Jl***3E-h-h*tit**3., *** F'ERMIT INFORMATION ri-ii-iiT:-iiii#ii-Si-ii-ie3i-il--ytii-fi-ac3i•*#i-ie*#*9E•iE•H-3i•
SITE STREET= 2112 S CHERRY ST
ADDRESS= SPOKANE WA 99216
PERMIT I.JSE== SEWER CONNECTION
**3 SEE NOTE *w*
PARCEL4= 45272.2238
HIL..L..CRE::ST (92S-888)
PL..AT.:== 001222 PLAT NAME= I--i:EL..L.CRE.ST ACRES i ST ADI)
BLOCK= 3 LOT= 6 ZONE= SFR DISTO= F"
AREA= 00000000 F"/A= F WIDTH-- DEPTH= Fi / W—
OF ]FtL_DGS= i DWELLINGS== i WATER DIST :=-
OWNER= DONNER PHONE::-: 509 924 587i
STREET= 2112 S CHERRY ST
ADDRESS== SPOKANE WA 99216
CONTACT NAME== COURCHAINE: EXCAVATION PHONE: NUMBER= 509 924
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT-. N/A REAR= N/A
ii*tii*it*3i-ti•:**tii-ii--h*tii-tii-3i-•h•liii3i3i•xii-**#i*ii- SEWER PERMIT -x-R-*-x •**-x-x-*** ••h• -h*** -R--h*-h•til--u:-htitti.;tii-tii-
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CONTRACTOR= COURCHAINE CONSTRUCTION PHONE:::: 909 924 548'.:5
ETRE::ET=:: 16402 F.:: V'ALL..EYWAY
ADDRESS= VERADALE WA 9904?
ITEM DESCRIPTION QUANTITY FEE:: AMOUNT"
PROCF:SSI:NG FEE Y 10,00
SEWER CONNECTION 1 40,00
-x -h tii- al- *• til- tie ri h tit• tii- h h• *- I.; 4i- •h- h tii- h- # ii• tii- 4(tii- ii• ii• til- ii • ii- P A Y M E:: N T" SUMMARY •,' -h.- jt- ): P: P.- ii- * * A -Il• il- * * * ?: /, it p 'h * * pL til- A 4, b.- P.
PAYMENT DATE RECE:IF'T:. PAYMENT AMOUNT
09/04/92 7389 50.00
------------
TOTAL.. DUE= .00 TOTAL. PAID= 50..00
PERMIT TYPE. FEE AMOUNT AMOUNT PAID AMOUNT OWING
.SEWE::R PERMIT 5000 50.00 .00
50.00 50.00 .00
PROCESSED BY: DOM I TRO V .ICH , ROBIN
PRINTED BY: DOMITROVI:Ci--1, ROBisN
SEWER STUB AS ---BUILT" INFORMATION Is AVAILABLE AT THE COUNTY
UTILITIES DEPARTMENT" (456-3604)
CONTRACTOR OR APPLICANT IS TO FIELD LOCATE AND CONFIRM THE
ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER
EXCAVATION
TO LOCATE -BURIED CABLES, GAS PIPING, WATER LINES, ECT.
CAL_i... BEFORE: YOU DIG (456-8000)
SEWER .STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO INSURE
THAT THEY ARE CLEAR AND UNOBSTRUCTED TO THE SEWER MAIN
-A: -x- ;t- * -A * - til- - CALL FOR INSPECTION PRIOR TO COVER ie tii al- -h it tii- - n -x it
ai-*»etii--hit t* 24 H(:IUR NOTICE REQUIRED * -*-hyi-tii-tii-*;i-*
:) -hii-*til*)i*ii- 456-3604 .- ..-ri-i.;3itii-R-h-tii-til
:..-*tiEit-hr:.-*-h-ii--ii--)*w*-ii--htiEii-**x*iE**#tiEtiewii-* THANK Y(J titi* tii#Atirir y # iiti# i
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